Individual provider Active NPI

Susan Tracy Fryar Kelone, N.P.

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1497743645
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4542 Issued in LA
Practice address
3425 North Blvd
Alexandria, LA 71301-3676
Phone
(318) 442-2339
Fax
(318) 442-2340
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO4542 LA Primary

Addresses

Primary practice location

3425 North Blvd
Alexandria, LA 71301-3676

Mailing address

248 Grays Creek Rd
Dry Prong, LA 71423-3539
Phone (318) 442-2339

Other identifiers 2

IdentifierTypeStateIssuer
1620467MedicaidLA
P00203569OtherLARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SUSAN.KELONE@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000190 LA Practitioner - Nurse Practitioner 1052362712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

10542 Hwy 1
Moreauville, LA 71355-3051
Phone (318) 785-0102

Hospital & facility affiliations

  • Bunkie Homecare Home health agency, Bunkie, LA, CCN 197114
  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
99.41
Promoting interoperability
100
Improvement activities
40
Cost
81.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APO4542LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Jun 15, 2025 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Jun 15, 2025 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients

Locations

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Interoperability endpoints

  • Direct secure messaging: susan.kelone@hca9.eclinicaldirectplus.com
  • Direct secure messaging: susan.kelone.1@30808.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1497743645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 GRAYS CREEK RD",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714233539",
            "telephone_number": "318-442-2339",
            "fax_number": "318-442-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 NORTH BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013676",
            "telephone_number": "318-442-2339",
            "fax_number": "318-442-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELONE",
        "first_name": "SUSAN",
        "middle_name": "TRACY FRYAR",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1620467",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00203569",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SUSAN.KELONE@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3425 North Blvd",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713013676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.